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KEYSTONE HEALTH CARE LLC

Company Details

Name: KEYSTONE HEALTH CARE LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Dec 2013 (11 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 404563
Place of Formation: IDAHO
File Number: 404563
ZIP code: 83616
County: Ada County
Principal Address: 868 E RIVERSIDE DR STE 170 EAGLE, ID 83616
Mailing Address: MARIANNE JENSEN 21 N FISHER PARK WAY EAGLE, ID 83616-4796

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KEYSTONE HEALTH CARE 401(K) PLAN 2023 474347276 2024-06-20 KEYSTONE HEALTH CARE 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 623000
Sponsor’s telephone number 2089668181
Plan sponsor’s address 21 N FISHER PARK WAY, EAGLE, ID, 83616

Plan administrator’s name and address

Administrator’s EIN 842925395
Plan administrator’s name 401GO, INC.
Plan administrator’s address 8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088
Administrator’s telephone number 8012142125

Signature of

Role Plan administrator
Date 2024-06-20
Name of individual signing FIDUCIARY ASSISTANCE
Valid signature Filed with authorized/valid electronic signature
KEYSTONE HEALTH CARE 401(K) PLAN 2022 474347276 2023-07-31 KEYSTONE HEALTH CARE 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 623000
Sponsor’s telephone number 2089668181
Plan sponsor’s address 21 N FISHER PARK WAY, EAGLE, ID, 83616

Plan administrator’s name and address

Administrator’s EIN 842925395
Plan administrator’s name 401GO, INC.
Plan administrator’s address 8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088
Administrator’s telephone number 8012142125

Signature of

Role Plan administrator
Date 2023-07-31
Name of individual signing FIDUCIARY ASSISTANCE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LEONARD JENSEN Agent 2575 N TANGLEROSE PL, EAGLE, ID 83616

Manager

Name Role Address Appointed On
Keystone Healthcare, LLC Manager 21 N FISHER PARK WAY, EAGLE, ID 83616 2020-11-23

Filing

Filing Name Filing Number Filing date
Annual Report 0005958183 2024-11-03
Annual Report 0005483835 2023-11-19
Annual Report 0004973593 2022-11-03
Annual Report 0004477554 2021-11-03
Change of Registered Office/Agent/Both (by Entity) 0004286883 2021-05-19
Annual Report 0004073508 2020-11-23
Annual Report 0003694034 2019-12-02
Annual Report 0003384346 2018-12-30
Annual Report 0002732804 2018-01-15
Statement of Change of Business Mailing Address 0002732803 2017-06-27

Date of last update: 18 Dec 2024

Sources: Idaho Secretary of State